Provider Demographics
NPI:1902197361
Name:WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES, PC
Entity Type:Organization
Organization Name:WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES, PC
Other - Org Name:WMCAPS-CTS
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT, PRACTICE MANAGEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-493-5244
Mailing Address - Street 1:100 WOODS RD
Mailing Address - Street 2:TAYLOR PAVILION D 341
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1530
Mailing Address - Country:US
Mailing Address - Phone:914-493-5244
Mailing Address - Fax:
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:MACY114W
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-8793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100057065Medicare PIN